Organization
HUNTSVILLE INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R HUMPHREY MD (PRESIDENT/OWNER)
(256) 651-5374
Entity
Organization
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 651-5374
Mailing address
5005 LITTLEBURY RD SE, HUNTSVILLE, AL 35802-1826
(256) 651-5374
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12374
AL
207RP1001X
Pulmonary Disease Physician
Primary
12374
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AL
Enumeration date
03/15/2016
Last updated
03/15/2016
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